NCC202026_Payment Verification_20200520

Action History (UTC-05:00) Eastern Time (US & Canada)
Subrrit by Anonymous User 5/11/2020 8:48:49 AM (NCG01 NOI Submission)
Approve by Farkas, Jim J 5/14/2020 1:15:45 PM (Review- Construction NOI 25397)
. The task was assigned to Farkas, Jim J by round robin distribution 5/11/2020 8:49 AM
The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: May 13, 2020 5:00 PM
5/11/2020 8:49 AM
Submit by Garcia, Lauren V 5/20/2020 12:04:20 PM (Payment Verification for NCC202026)
* Ilex Properties LLC
• Garcia, Lauren V assigned the task to Garcia, Lauren V 5/20/2020 12:03 PM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: June 25, 2020 5:00 PM
5/14/2020 1:16 PM

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•
V.
• yrnent Verification
NORTH CAROLINA
Envtro me tufQuuftty
Project Tracking ID*
NCC-NASH-2020-Macon's Ridge Senior Living Center
NC Reference No.*
NCG01-2020-2026
Certificate of
NCC202026
Coverage (COC)
No.*
Important: If you change the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the
ONLY way to reject an eNOI at this step.
Payment Received*
r Payment Received.
r Payment NOT RECEIVED.
Date Payme nt
5/20/2020
Received*
Method of Payment*
r electronic
r check
r NO PAYMENT RECEIVED
r Other
Check Number*
4962
NOI Tracking No.
25397
Tracking ID referenced upon subrrittal
This is an Express
r No
Review Project
r Yes